Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Global Health Threats A Hospital and District Perspective/Preparedness Vickie VanDeventer MPH, BSN, RN, CIC Infection Control Practitioner Review • • • • How Diseases are Spread - Chain of Transmission Hospital Preparedness District Hospital Preparedness Infection Prevention It’s all about the chain………… Chain of Transmission CAUSATIVE AGENT PORTAL OF ENRY PORTAL OF EXIT MODE OF TRANSMISSION Chain of Infection • • • • • • Causative Agent- any bacteria Reservoir- where bacteria can survive Portal of Exit- a way out of the carrier Mode of Transmission- method of travel Portal of Entry- a way agent enters host Susceptible Host- anyone 2003 Emerging Infectious Diseases March 2003 May 2003 • Mad Cow Disease in Canada (Bovine spongiform encephalopathy) June 2003 Monkeypox Indiana- 7 cases Total- 37 cases in six states. July 2003 – West Nile Virus Hospital Preparedness Hospital Grants (2002) • Center for Disease Control and Prevention (CDC) • Health Resource & Services Administration (HRSA) Hospital Grant • Allowed hospitals to purchase items to improve their emergency preparedness. • Example of items purchased; • • • • • • • • Personal Protective Equipment 800 MHz Radios Evacuation Equipment Ventilators Conversion of Rooms to Negative Airflow Powered Air Purifying Respirator (PAPR) Staff Education Decontamination Training and Equipment Bioterrorism Preparedness Districts La La Por Por te te Lake Lake Elkhart Elkhart St St .. Joseph Joseph 1 Marshall Marshall St euben euben St Noble Noble De Kalb Kalb De Kosciusko Kosciusko 2 St Starke arke Whitley Whitley Jasper Jasper Pulaski Pulaski Newton Newton District Involvement La Gr Gr ange ange La Port Porter er Allen A llen 3 Fulton Fulton Miam Miamii Wabash Wabash Huntington Huntington Wells Wells CCass ass A Adams dams White White Benton Benton Carr oll oll Carr Grant Grant Tippecanoe Tippecanoe War ren ren War Howard Howard 4 Clinton Clinton Mont gomer gomer y y Mont Tipton Tipton Madison Madison Delawar e Delaw ar e 6 Hamilt Hamilt on on Boone Boone Randolph Randolph Henry Henry Fountain Fountain Wayne Wayne Parke Par ke Ver -Ver milmillion lion Hendricks Hendricks Putnam Putnam Marion Marion Hancock Hancock 5 Rush Rush Clay Clay Morgan Morgan 7 Johnson Johnson Fr anklin anklin Fr Owen Ow en Decatur Decatur Monr oe oe Monr Brown Brown Bart Bartholom holomew ew Sullivan Sullivan Ripley Ripley Greene Greene Jennings Jennings Jackson Jackson Lawrence Lawrence Knox Knox Union Union Fayette Fayette Shelby Shelby Vigo Vigo Jay Jay Blackford Dav iess iess Dav 8 Martin Martin 9 Jefferson Jefferson Washington Washington Dearborn Dearborn Ohi o o Ohi Switzerland Switzerland Scott Scott Orange Orange Clark Clark Pike Pike Gibson Gibson Posey Posey VanderVanderburgh burgh 10 War rick War rick Dubois Dubois Crawford Crawford Harr Harrison ison Floyd Floy d Per ry Perry Spencer Spencer 1.14.2004 Public Health District 8 • Monroe, Orange, Lawrence, Bartholomew, Washington, Brown, and Jackson • 8 hospitals District Involvement • Participate in District Hospital Planning • District Hospitals meet monthly • Develop district plans • Participate in District Planning • District meets quarterly • Includes several disciplines- hospital, health department, emergency management, fire, police, Indiana state department of health, and red cross. Hospital/District Capabilities • Assessed Individual Hospital Capabilities • Assessed District Capabilities • • • • • • • Developed District Hazardous Vulnerability Analysis Developed District Emergency Operations Plan Developed CHEMPACK Policy Developed District Fatality Management Plan Developed District Evacuation Plan Developed District Gap Analysis District Communication Plan – Test radios monthly District 8 • District Tabletop exercise completed in 2005, 2006, and 2007. • District Full Scale exercise in 2008. Other State Initiatives • • • • • • List serve for hospital contacts. Epidemiologist for each public health district. Mass prophylaxis plan for each county/hospital. Syndromic Surveillance. EWA Phoenix Bed Tracking System. Indiana Health Alert Network. • Health departments • Hospitals Prevention is key! Infection Prevention Infection Prevention • Frequent Hand washing is important to prevent the spread of infection. • Cover your nose and mouth with a tissue when you cough or sneeze. • Try to avoid close contact with sick people. Summary • It will take all of us working together to care for our community during any type of event. • We can all make a difference by following these simple rules; • Get back to the basics • Wash your hands • Cover your cough • Get immunized! ANY QUESTIONS ?